Chargemaster 11.29.18
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cpt4_ext_idCPT Description
Charge Amount
2
10022ACT Z-ABSC DRNG,RETROPERITONEA1,192
3
10060I&D SIMPLE339
4
10061I&D COMPLEX618
5
10160AUS PUNCTURE DRAINAGE OF LESION618
6
11042DEB SUBCUT TISS 1ST 20SQCM799
7
11043DEB MUSCLE/FASCIA 1ST 20SQCM1,236
8
11044DEB BONE 1ST 20 SQ CM2,809
9
11045DEBRID SUBQ EACH ADDL 20 SQ CM631
10
11046DEB MUSCLE/FASICA ADDL SQCM527
11
11047DEBRID BONE EA ADDL 20 SQ CM1,654
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11055BENIGN LESION PARING394
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11056BENIGN LESION PARING (2-4)157
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11057BENIGN LESION PARING (4+)618
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11100BIOPSY COLLECTION1,236
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11101BIOPSY OF BREAST EA ADDT'L386
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11719TRIMMING OF NONDYSTROPHIC NAILS(A192
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11720DEBRIDE NAIL 1-583
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11721DEBRIDE NAIL >583
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11730AVULSION OF NAIL PLATE (PT, COMPL245
21
11732AVULSION OF EACH ADDL NAIL PLATE167
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11750EXCISION OF NAIL - PART/COMPLETE432
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12007LACER-SMP-SCALP/TRK/HND > 30CM405
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12018RPR F/E/E/N/L/N > 30.0CM435
25
13122
REPAIR COMPLEX SCALP/ARM/LEG EA ADL 5CM<
715
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15004SITE PREP 100SQ CM (TRUNK/ARM/LEG1,115
27
15110EPIDRM AUTOGRFT TRNK/ARM/LEG6,260
28
15115EPIDRM A-GRFT FACE/NCK/HF/G3,797
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15271ALLOGENIC GRAFT (1ST 25 SQCM) T/A/L2,135
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15272
ALLOGENIC GRAFT (ADDT'L 25 SQCM) T/A/L
1,686
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15273XENO SKIN SUB 1ST 100 SQCM (T/A/L)2,135
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15274
XENO SKIN SUB (T/A/L) EACH ADD 100SQCM
1,686
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15275ALLOGENIC SKIN SUB (F/NK/HF/G)2,135
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15276ALLOGENIC SKIN SUB (F/NK/HF/G) ADD'L1,686
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15277XENO SUB 1ST 100 SQCM (F/NK/HF,G)2,135
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15278
XENO SUB EACH ADDL 100 SQCM (F/NK/HF,G)
1,686
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15786CALLUS ABRASION (SINGLE)245
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15787CALLUS ABRASION (ADD ON)245
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16020WOUND DEBRIDEMENT (SMALL BURN)234
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16025WOUND DEBRIDEMENT (MED BURN)277
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16030WOUND DEBRIDEMENT (LARGE BURN)323
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17250CAUTERY OF WOUND (CHEMICAL)245
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17999
UNSPECIFIED DEBRIDEMENT FULL THICK BURNS
448
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19000DRAINAGE OF BREAST LESION939
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19001AUS BREAST PUNCT/ASP CYST EA ADD69
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19081MM BREAST 1ST BX PERCUT W/VACUUM1,562
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19083AUS Breast biopsy, perc 1st lesion w/US3,821
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19084AUS Breast biopsy, perc addl lesion w/US1,134
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19085BREAST BIOPSY PERC 1ST LESION MRI2,328
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19086BREAST BIOPSY PERC ADDL LESION MRI1,134
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19281
BREAST LOCAL DEVICE-1ST LESION-MAMMO GUI
286
52
19282
LOCAL DEVICE-ADDT'L LESION-MAMMO GUIDE
286
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19283LOCAL DEVICE-1ST LESION-STEREOTATIC286
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19284
LOCAL DEVICE-ADDT'L LESION-STEREOTATIC
286
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19285LOCAL DEVICE-1ST LESION-ULTRASOUND286
56
19286
LOCAL DEVICE-ADDT'L LESION-ULTRASOUND
286
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19287
LOCAL DEVICE-1ST LESION MRI RESONANCE
286
58
19288
LOCAL DEVICE-ADDT'L LESION MRI RESONANCE
286
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19499BREAST SURG PROC3,371
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20206ACT Z-BIOPSY MUSCLE1,834
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20225SP BIOPSY BONE DEEP649
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20605ARTHOCENTESIS (WRIST, ELBOW, ANKLE)685
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20610ARTHOCENTESIS (KNEE, HIP, SHOULDER)685
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22513KYPHOPLASTY THORACIC12,880
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22514KYPHOPLASTY LUMBAR17,534
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22515KYPHOPLASTY EA ADDL VERT BODY17,534
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23350ARTHOGRAM SHOULDER PR CODE159
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24220ARTHOGRAM ELBOW PR CODE140
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25246ARTHOGRAM WRIST PR CODE123
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27093ARTHROGRAM HIP PR CODE156
71
27370ARTHOGRAM KNEE PR CODE142
72
27648ARTHOGRAM ANKLE PR CODE140
73
28190
REMOVAL OF FOREIGN BODY FROM FOOT
138
74
29105APPLICATION OF LONG ARM SPLINT185
75
29125APPL. OF SHORT ARM SPLINT-STATIC185
76
29126APPL. OF SHORT ARM SPLINT-DYNAMIC185
77
29130APPL. OF FINGER SPLINT-STATIC185
78
29131APPL. OF FINGER SPLINT-DYNAMIC185
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29240SHOULDER TAPING185
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29280HAND/FINGER TAPING185
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29405SHORT LEG CAST540
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29445TOTAL CONTACT CASTING629
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31500INSERT EMERGENCY AIRWAY465
84
31502ARTIFICIAL AIRWAY CHANGE508
85
31720NASOTRACHEAL SUCTIONING155
86
32405ACT Z-BIOPSY, LUNG/MEDISTNM1,834
87
32554REMOVAL OF FLUID FROM CHEST CAVITY202
88
32555X-THORACENTESIS,ASPIRATION PUNCT1,344
89
32560CT Z CHEMICAL PLEURODESIS1,015
90
33282SP LOOP RECORDER3,767
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33284REMOVE PAT-ACTIVE HT RECORD3,334
92
33967SP INTRAAORTIC BALLOON INSERT1,584
93
36000IV START W/O INFUSION/INJ36
94
36005VENOGRAM EXT UNI PR CODE245
95
36010CATHETER PLACEMENT IN VEIN611
96
36011VENOUS 1ST ORDER PR CODE1,153
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36012VENOUS 2ND ORDR/MORE PR CODE279
98
36013ART HEART OR PULMNRY PR CODE613
99
36014PULMONARY ARTERIOGRAMS THRU RT770
100
36140NON-SELCT ART EXTR UNI PRCD602
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